Randstad Prior Authorization Correspondence Quality Analyst in Elk Grove Village, Illinois

Prior Authorization Correspondence Quality Analyst

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job details:

  • location:Elk Grove Village, IL

  • salary:$21 - $26 per hour

  • date posted:Friday, September 15, 2017

  • job type:Temp to Perm

  • reference:576587

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description

Responsibilities:

  • Facilitate Meetings as Requested by Supervisor

  • Review Test Plans and Proofs for Prior Authorization correspondence that are coded into the Prior Authorization System which includes validating: Content, Branding, Compliance Elements (CMS, NCQA, URAQ, ERISA, ACA and State Regulations), and Design elements.

  • Assign new tasks in ServiceNow received in the department's assignment group

  • Provide client letter inventories on demand

  • Submit post configuration oversight tasks to internal teams

Required:

  • Excellent writing / proofreading skills

  • Excellent interpersonal / professional communication skills

  • Good time management skills

  • Quality Assurance Experience

  • Proficiency in Microsoft Office Suites (listed in order of importance): Word, Excel, and PowerPoint

  • Pharmacy Experience

Assets:

  • Preferred: Proficiency in prior authorization processing platforms: Pega PAS, RxAuth

  • Preferred: Proficiency in setup platforms: +PReS Share (PAS), Template Builder (RxAuth)

  • Preferred: PBMCT certification

  • Preferred: CPhT certification

  • Preferred: PBM experience